Industry Day – By Peter Budetti, CMS Deputy Administrator and Director for the Center for Program Integrity

October 14

We at the Centers for Medicare &amp; Medicaid Services (CMS) continue to ramp up our efforts to fight health care fraud as we welcome more than 330 people representing nearly 200 vendors to Industry Day on October 15 from 9:00 am to 5:00 pm at our Central Office complex in Baltimore, Maryland. Our Center for Program Integrity (CPI) is hosting the event, which is designed to identify state-of-the-art services, methods and products that could help us to prevent and detect fraud, and to reduce waste, abuse and other improper payments under the Medicare and Medicaid programs.

Industry Day is the first of a two-phase market research initiative where we’ll be sharing our strategic goals, priorities and objectives to prevent and detect fraud. We’ll also provide an overview of our capabilities and initiatives related to Medicare and Medicaid program integrity, including the process of developing IT solutions within the context of the CMS Technical Reference Architecture and Integrated IT Investment &amp; System Life Cycle Framework. Based on the information we present, interested vendors can determine if the services, methods and products they offer can support our fraud prevention efforts.

The second and final phase of our market research initiative will start in late November when we plan to send an online invitation (through the FedBizOpps website) asking interested vendors to submit capability statements for the following four areas: provider screening, predictive modeling, case management and data integration. We’ll review and select capability statements in each area and schedule meetings with some vendors starting in January 2011.